You may place an order by typing into and printing this form, and FAXing it to us at
619-713-5296. We also accept phone orders at 619-713-5295 or 866-435-2932 (toll-free) Mon. - Fri. 8-5 PST. NOTE: All fields denoted with an asterisk (*) below are required.

Customer* Contact
Phone* FAX*
Phone 2 Email*
Bill To:*
 Ship To:*

Job Reference Customer PO* Resale Rush Will Call Deliver Via

Item No: Size/Description Quantity
Unit Price
 Total Price
08144 Small $36/$32**
14144 Medium $42/$38**
22144 Double $86/$78**
Subtotal Material*
Sales Tax*
Subtotal Non-Material
Minimum Charge
TOTAL CHARGE*
** Discount for price each for quantities of over 10 per item number.
CUSTOM ORDERS: Please indicate dimensions and any other information needed, including quantities and timeframes. This area may also be used for special shipping instructions for non-custom orders.
Authorized Customer Approval Signature (follow-up required with payment info if no account or credit card is already provided to T & A Tile and Accesories):

Signature(s)*: _____________________________________ Date*:_________________

Phone: 619.713.5295 or 866-435-2932 (toll free); FAX: 619.713.5296; Email: sales@tileandaccessories.com
Address: T&A Tile and Accessories, Inc., 2819 Central Ave., Suite B, Spring Valley, CA 91977
Copyright© 2008, T&A Tile and Accessories, Inc. All rights reserved
Back to T & A Tile and Accessories Home Page Tile Ready Niche Products Installation of Tile Ready Niches Photo Gallery Order Tile Ready Niches About T&A Tile and Accessories, Inc. Client Testimonials